Ann Coloproctol.  2016 Jun;32(3):120-122. 10.3393/ac.2016.32.3.120.

Persistent Bleeding Following a Stapled Hemorrhoidopexy

• Lee SD
• Jung ST
• Lee JB
• Kim MJ
• Lee DS
• Youk EG
• Kim DS
• Lee DH

• KMID: 2326726
• DOI: http://doi.org/10.3393/ac.2016.32.3.120

Abstract

A stapled hemorrhoidopexy (SH) is widely used for treatment of patients with grades III and IV hemorrhoids. The SH is easy to perform, is associated with less pain and allows early return to normal activities. However, complications, whether severe or not, have been reported. Here, we present the case of a female patient with persistent bleeding after a SH. The bleeding was caused by the formation of granulation tissue at the stapler line, diagnosed with sigmoidoscopy, and successfully treated via transanal excision (TAE) under spinal anesthesia. The biopsy showed inflammatory granulation tissue. After the TAE, her symptom was completely gone.

Keyword

Hemorrhoidectomy; Stapled hemorrhoidopexy; Rectal bleeding; Inflammatory polyp

MeSH Terms

Anesthesia, Spinal
Biopsy
Female
Granulation Tissue
Hemorrhage*
Hemorrhoidectomy
Hemorrhoids
Humans
Sigmoidoscopy